SAACURH Application

Hosted by: University of West GeorgiaDates: October 20th to October 23rd

Application Deadline September 27th, 2017 @ 11:59pm!​You must have won your election to go to this conference.

Basic Information

Name *

First

Last

Email *

Phone Number *

Expected Graduation Date *

Gender *

MaleFemale

Building or Area in Which You Live *

Position You Hold Within RHA *

T-Shirt Size *

SmallMediumLargeXLXXL

EMERGENCY CONTACT INFORMATION

Name of Emergency Contact *

First

Last

Relation *

Emergency Contact Phone Number *

DIETARY NEEDS/ALLERGIES

Dietary: *

Allergies: *

INSURANCE INFO

Provider *

Policy Number *

Delegate-Institution Contract

By checking the following boxes you agree to the following terms if you are accepted as a delegate to the South Atlantic Affiliate of College and University Residence Halls (SAACURH)._

I agree to attend pre-conference meetings at the time and place outlined by the National Communications Coordinator, Jocelyn Cruz. If I am unable to attend, I will notify the NCC at least 24 hours in advance and will be responsible for contacting the NCC again so that I may be informed about what happened at the meeting. These meetings will take place on September 29, October 12, and October 19. Time TBD based on the delegation's schedule *

I Agree

I agree to work at these meetings to get the delegation ready the conference. *

I Agree

I agree to represent Florida Gulf Coast University in a manner appropriate to the nature of the conference (have a positive attitude, be respectful of other schools, and abstain from alcohol consumption and sexual activity). *

I Agree

I agree to participate in ALL spirit activities that take place at the conference as described at the pre-conference meetings. This can include but is not limited to chanting, dancing and dressing up. *

I Agree

I agree to respect the leadership of my advisor and NCC throughout the preconference meetings as well as at the conference itself. *

I Agree

I agree to attend one program in every programming session at SAACURH, unless otherwise worked out with the NCC and an advisor. *

I Agree

Delegate Questionnaire

Please fill out the questions below. If possible, keep each answer 250 words or less.

1. Why do you want to attend SAACURH 2017? *

2.How do you think you could impact RHA, your Area Council, and FGCU by attending this conference? *

3. How do you plan on sharing, or implementing the information you'll learn during this conference? *

4. Creativity is very important for preparing for a conference. What creative experience/outlets do you have? *

5. Preparing for a conference can be a lot of work. It makes it easier when we have a team that can dedicate enough time to the cause. A lot of planning will take place during the months of September – October . What are some possible conflicts with this time commitment? *

6. (Only for returning delegates) Since you have attended a RHA conference before, what will you benefit from attending SAACURH 2017? Also for returning delegates it is required to present a program, what potential program ideas do you have? *

7. Also for returning delegates, it is required to present a program, what potential program ideas do you have? *

Disclaimer: If I, (____), am chosen to attend the South Atlantic Affiliate of College and University Residence Halls (SAACURH) and for any reason I am unable to attend after having agreed to the terms and conditions stated above, I will be required to pay back the Resident Housing Association 100 % of Travel and registration expenses. *

By checking this box I agree to the terms aboveBy checking this box I understand that I must and will be missing class on Friday October 28th. (You will get a letter but you must clear with your professor as well that you will be in compliance with their attendance policies)